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    OpenPayerNPI Medicare & MedicaidAaron Spitz
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    Aaron Spitz — Billing Profile & Reimbursement Data

    NPI 1164487674 · Laguna Hills, CA · Urology Physician

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    Aaron Spitz is a urology physician provider located in Laguna Hills, California. This profile covers 22 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAaron Spitz
    Address23961 Calle De La Magdalena Ste 500
    CityLaguna Hills
    StateCA
    ZIP92653
    TaxonomyUrology Physician
    NPI EnumeratedApril 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$140.7K
    Medicaid$8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…400$100$40.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…430$70$29.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…100$130$13.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…50$210$9.7K
    54200The provider injects a medication into the external area of the penis. He performs this procedure to treat a disease known as Peyronie disease in which there occurs an abnormal curvature of the erect…60$100$5.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$150$5.8K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.560$10$5.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$70$4.8K
    76873The provider performs a transrectal ultrasound to assess the size and shape of the prostate in order to plan brachytherapy treatment. The brachytherapy planning is not reported with this code.20$160$3.2K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…50$70$3.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J349022132080$190$49.2K
    992146,90237,970120$90$23.2K
    992326,89912,28090$70$16.3K
    5200046772070$180$16K
    992133,94534,66080$70$13.2K
    5420051080$90$12.5K
    992237,22713,19050$140$11.3K
    G041619724030$210$10.3K
    992042,89519,36040$120$7.2K
    5570027335020$220$6.9K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…80$90$7.1K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.50$10$580
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…130$1$260

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…11,47914,520760$10$122.8K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.171230290$20$26.9K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…1,3681,970490$1$8.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Aaron Spitz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph SedrakTXMOHS-Micrographic Surgery Physician$4.4M$0
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Kourosh DastgheibCAOphthalmology Physician$210.8K$3.1M
    Roger KornuCARheumatology Physician$2.7M$0
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Brian KimCAOphthalmology Physician$2.6M$8.9K
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Hema RamkumarCARetina Specialist (Ophthalmology) Physician$2M$54.9K
    Robby AyoubCAPulmonary Disease Physician$281.4K$1.7M

    Nearby Providers

    Other providers in the same ZIP code as Aaron Spitz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilshire Pharmcare, Inc.CAPharmacy$114.3K$31M
    Pmdca, LLCCAClinical Medical Laboratory$906.1K$7M
    Alicia Surgery Center LLCCAAmbulatory Surgical Clinic/Center$3.2M$0
    Pacific Hills Surgery Center LLCCAAmbulatory Surgical Clinic/Center$1.6M$15.2K
    Brandon MorrisCAFamily Nurse Practitioner$1.4M$0
    Prelude CorporationCAClinical Medical Laboratory$1M$9K
    Ali TabatabaiCASpecialist$1M$0
    Esrafil AbediCAOtolaryngology/Facial Plastic Surgery Physician$101.1K$806.2K
    Savak TeymoorianCAOphthalmology Physician$782.6K$0
    Jason LiauwCANeurological Surgery Physician$668.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Aaron Spitz — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Aaron Spitz — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California